Doctor insights on:
Substitution For Eliquis
Can I substitute Plavix (clopidogrel) for Eliquis? I have Atril fibrillation condition. What are advantages and disadvantages of each medication, if substitutes?
Sure: Not sure if you're asking whether the manufacturers include ingredients to which a vegan might object. The health benefits of appropriately prescribed meds for the conditions these meds treat far outweigh any health benefits you might derive from being a vegan. ...Read more
What natural alternatives are available for a regiment of plavix aspirin lopressor (metoprolol tartrate) and cholesterol meds for a male of 60.
No equivalent: Although not specified, that particular combination of medications is common for patients with a heart attack or stent placement. There are no natural equivalents or even close players for patients with significant heart disease. Red yeast rice sold in the us, although may have a tiny amount of statin, can not have enough of a concentration to provide a clinical benefit, per the fda. ...Read moreSee 1 more doctor answer
Is rivaroxaban xalerto safe and good drug for preventing stroke in Afib compared to aspirin and plavix (clopidogrel) together in72 yr man with hypertension,s.cr1.56?
Xalerto is best: His CHA2DS2-VASc score is 2 (age and presence of hypertension). All studies have concluded that the benefit from anticoagulation significantly exceeds the risks for almost all AF patients with a score of 2 or more. Xalerto will more effectively reduce his risk of stroke and won't increase his risk of bleeding. ...Read more
Hydroxyurea: Anagrelide not used much anymore due to the increase in fibrosis in the marrow. Hope this helps. ...Read more
Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?
Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated.There are other options but they are all have same action and side effects.Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs . Ototoxicity is rare. Aspirin is safe asking as no contraindications . Discuss your concerns with MD ...Read moreSee 1 more doctor answer
What is the recommended blood thinners for 72 yr male with hypertension (Apixaban) or combined antiplatlet (A&P)which regime is more safe andeffective?
Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?
A question for cardiologists...Did we give gp2b/3a inhibitors (abciximab...) with aspirin and clopidogrel during pci or only aspirin and clopidogrel?
My doctor prescribed clazol instead plavix (clopidogrel) and aspirin for me; what is the advantage if there is one?
Very controversial: Answer depends upon how you interpret evidence. Kind of like blind men & elephant. Check out http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/neurology/antiplatelet-agents/Default.htm for good summary. Bottom line, while we often add Clopidogrel to aspirin to prevent stroke, the outcome benefits are not quite there. Of note, we're not "treating" so much as "preventing" another one ...Read more
More potent: Plavix (clopidogrel) now has competitor drugs. Effient (prasugrel) is more potent at inhibiting platelets, which prevents clots, but this also leads to higher bleeding risk (double-edged sword). Ticagrelor is another agent with proven benefits similar to Plavix (i.e. Heart attack risk reduction), and seems to be more potent without increasing bleeding, but verdict is out still. ...Read moreSee 1 more doctor answer
Pretty good, but...: They are essentially equivalent in thinning the blood to replace coumadin (warfarin), (warfarin) but they require twice daily dosing. Yes, you don't have to get your blood tested like you do with coumadin (warfarin), (warfarin) but if you have a bad bleed, there is no antidote for either you mentioned, like there is for coumadin (warfarin). So one must weigh the risks vs. The benefits, as we do everyday in medicine. ...Read moreSee 1 more doctor answer
In the pharma war among, warfarin, pradaxa, xarelto, eliquis(fda pending), which one is safest and most effective for cad/pad from a medical view?
Debatable: Warfarin is safe, but requires blood checks to make sure anticoagulation is within range. It also can be reversed in case of hemorrhage fairly easily. Pradaxa, xarelto, and Eliquis are called factor x inhibitors and don't require blood testing and are safe; however, they can't be reversed in case of an unexpected hemorrhage so there is some risk associated with them. ...Read moreSee 1 more doctor answer
Yes, ButRarelyNeeded: because, like the other factor Xa inhibitors, the half-life for clearance is short, about 5 -9 hrs for healthy people 20-45 yrs, possibly longer older/sick. Xarelto inhibits clot formation & is Rx'ed because of evidence/concern of forming clots inside blood vessels, not just at blood vessel breaks, thus any bleeding problems are ?ed. Xarelto does NOT thin blood; blood viscosity does not change. ...Read moreSee 1 more doctor answer